MRS. KELSEY A FANTINO PA-C
NPI 1780145110
Physician Assistant in Chesapeake, VA

Q: What is Kelsey Fantino's NPI number?

The NPI number for Kelsey Fantino is 1780145110. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Kelsey Fantino's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Fantino was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2019PECOS Enrolled

817 VOLVO PKWY, CHESAPEAKE, VA 23320(757) 668-4630 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Nov 8, 2020 (2 updates tracked since 2020).

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About Mrs. Kelsey A Fantino Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELSEY A FANTINO PA-C (NPI 1780145110) is an individual physician assistant in Chesapeake, Virginia, licensed in Virginia (0110006774) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780145110

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KELSEY A FANTINOCredential: PA-C

Location Address817 VOLVO PKWYChesapeake, VA 23320-2855

Mailing Address817 Volvo PkwyChesapeake, VA 23320-2855

Phone(757) 668-4630

Sole ProprietorYes

Enumeration DateMarch 28, 2019

Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1780145110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110006774

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

817 VOLVO PKWY, Chesapeake, VA 23320

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelsey A Fantino Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE NGUYEN PA-C

Physician Assistant